Saint Clement School



Saint Clement Parents Association Scrip “Back to School Sale”~~~~~~~~~~~~~~~~~~~~~~~~~~~PLEASE RETURN THIS FORM (and payment if paying by check) BY MONDAY, September 26th at 9:00 am. Family Name: ___________________________________________________________________________________________ Please place my order according to the selections below. I have included a check payable to Saint Clement School for $______._____ I have placed my order online and am paying by check. Here is my check payable to Saint Clement School for $_______.*If you have placed an online order and paid with Presto Pay – there is no need to return this form. (When initially setting up Presto Pay, please wait until your account is verified before placing an online order.) **Send orders in envelope via backpack express to “SCRIP ORDERS”NOTE: This form only includes the most popular cards. More denominations may be available for a particular retailer. For a full listing, go to . Write-in space is provided below. Product$ GCRebate%QTYTotalProduct$ GCRebate%$1003.00%?$Macy's$10010.00%?$$253.00%?$Mariano’s $1004.00%?$AMC Theatres $258.00%?$Marshalls$1007.00%?$AMC Theatres Gold Ticket $9.5016.00%?$Meijer$1003.00%?$American Eagle Outfitters$2510.00%?$Neiman Marcus$5012.00%?$Athleta/Gap/Banana$10014.00%?$Nike$2512.00%?$ Republic/Old Navy$2514.00%?$Panera Bread $259.00%?$Barnes & Noble$259.00%?$Pier 1 Imports $259.00%?$Barnes & Noble$1009.00%?$Pottery Barn $1008.00%?$Bath & Body Works $2513.00%?$Red Lobster $259.00%?$Bed Bath & Beyond $1007.00%?$Regal Entertainment Group $258.00%?$Bed Bath & Beyond$257.00%?$Regal Premiere Ticket $9.5015.00%?$Bloomingdale's $10012.00%?$Shell $1002.50%?$Boston Market $1012.00%?$Shell $502.50%?$BP $1001.50%?$Shutterfly $259.00%?$BP $501.50%?$Speedway$1004.00%?$California Pizza Kitchen$104.00%?$Speedway $254.00%?$Chipotle Mexican Grill $1010.00%?$Sports Authority $258.00%?$Container Store $1009.00%?$Starbucks $107.00%?$Crate and Barrel $1008.00%?$Starbucks $257.00%?$CVS/pharmacy $1006.00%?$Subway $103.00%?$CVS/pharmacy $256.00%?$Talbot’s$2513.00%?$Dave & Buster's$2513.00%?$T.J. Maxx $1007.00%?$Dennis Uniform $205.00%?$T.J. Maxx $257.00%?$Dick’s Sporting Goods$258.00%?$Target $1002.50%?$Disney $1002.00%?$Target $252.50%?$Dunkin' Donuts $104.00%?$Toys R Us/Babies R Us$203.00%?$Home Depot $1004.00%?$ULTA $254.00%?$iTunes? $155.00%?$Walgreens $1006.00%?$iTunes? $255.00%?$Walgreens $256.00%?$J. Crew$2513.00%?$Walmart $1002.50%?$Jewel-Osco $1004.00%?$Whole Foods Market $1003.00%?$Kohl’s$254.00%?$ $258.00%?$Lands' End $10016.00%?$Other:$??$Lands' End $2516.00%?$Other:$??$Lettuce Entertain You$2512.00%?$Other:$???$L.L Bean$10016.00%?$Other:$??$Lou Malnati's Pizzeria $108.00%?$Other:$??$ ................
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